scholarly journals Pseudoaneurysm of the Posterior Tibial Artery 12 Years after Medial Malleolus Fracture

2014 ◽  
Vol 54 (4) ◽  
pp. 57-60
Author(s):  
Kensuke Kobayashi ◽  
Yukio Suto ◽  
Okihiko Akashi
Keyword(s):  
Posterior Tibial Artery ◽  
Medial Malleolus ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Medial Malleolus Fracture

An Extraordinary Reconstruction of a Postoperative Defect after Metatarsophalangeal Joint Arthrodesis of the Big Toe Using the “Chinese Forearm Flap”

2021 ◽  
Author(s):  
Andrej Ring
Keyword(s):  
Soft Tissue ◽  
Metatarsophalangeal Joint ◽  
Posterior Tibial Artery ◽  
Hallux Rigidus ◽  
Soft Tissue Defect ◽  
Medial Malleolus ◽  
Soft Tissue Reconstruction ◽  
Tissue Defect ◽  
Posterior Tibial ◽  
Tibial Artery

Abstract Background We present an unusual technique for reconstruction of a postoperative tissue defect following hallux rigidus surgery. Methods A complicated course after left big toe arthrodesis resulted in a soft tissue defect with bone exposure of the first ray. Amputation of the big toe was categorically rejected by the patient. There was advanced arteriosclerosis with single-vessel supply to the foot via the posterior tibial artery. Outcome To preserve the big toe, the defect was covered by a fasciocutaneous radial free flap with a 15 cm long vascular pedicle which was microanastomosed to the posterior tibial artery and its accompanying vein at the level of the medial malleolus. Conclusion In certain extreme situations, the free “Chinese” radial flap can be quite effective in covering forefoot defects and allowing satisfactory and aesthetically pleasing soft tissue reconstruction.

scholarly journals Ultrasound in diagnosis of anatomical variation of anterior and posterior tibial arteries.

2016 ◽  
Vol 18 (1) ◽  
pp. 64 ◽  
Author(s):  
Miao Zheng ◽  
Chuang Chen ◽  
Qianyi Qiu ◽  
Changjun Wu
Keyword(s):  
Anatomical Variation ◽  
Posterior Tibial Artery ◽  
Peroneal Artery ◽  
Medial Malleolus ◽  
Anterior Tibial Artery ◽  
Tarsal Tunnel ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Tibial Arteries ◽  
Anterior Tibial

Aims: Knowledge about branching pattern of the popliteal artery is very important in any clinical settings involving the anterior and posterior tibial arteries. This study aims to elucidate the anatomical variation patterns and common types of anterior tibial artery (ATA) and posterior tibial arteries (PTA) in the general population in China. Material and methods: Anatomical variations of ATA, PTA, and peroneal artery were evaluated with ultrasound in a total of 942 lower extremity arteries in 471 patients. Results: Three patterns of course in the PTA were ultrasonographically identified:  1) PTA1: normal anatomy with posterior tibial artery entering tarsal tunnel to perfuse the foot (91.5%),  2) PTA2: tibial artery agenetic, and replaced by communicating branches of peroneal artery entering tarsal tunnel above the medial malleolus to perfuse the foot (5.9%), and 3) PTA3: hypoplastic or aplastic posterior tibial artery communicating above the medial malleolus with thick branches of peroneal artery to form a common trunk entering into the tarsal tunnel (2.4%). In cases where ATA  was hypoplastic or aplastic, thick branches of the peroneal artery replaced the anterior tibial artery to give rise to dorsalis pedis artery, with a total incidence of 3.2 % in patients, and were observed more commonly in females than in males. Hypoplastic or aplastic termini of ATA and PTA, with perfusion of the foot solely by the peroneal artery, was identified in 1 case. In another case, both communicating branches of the peroneal artery and PTA entered the tarsal tunnel to form lateral and medial plantar arteries.Conclusions: Anatomical variation of ATA and PTA is relatively common in the normal population. Caution should be exercised with these variations when preparing a peroneal artery vascular pedicle flap grafting. Ultrasound evaluation provides accurate and reliable information on the variations.

scholarly journals Cadaveric Study of the Neurovascular Bundle in Tarsal Tunnel Region among Sudanese - 2020

2021 ◽  
Author(s):  
yasser seddeg ◽  
Elfarazdag Ismail
Keyword(s):  
Tibial Nerve ◽  
Posterior Tibial Artery ◽  
Neurovascular Bundle ◽  
Medial Malleolus ◽  
Tarsal Tunnel ◽  
Nerve Blocks ◽  
Bifurcation Points ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Displacement Osteotomy

Abstract Background: Tarsal tunnel is situated medial to the ankle lying deep to the flexor retinaculum. Within which lies the neurovascular bundle in separate compartments. This study examines the level of bifurcation points of tibial nerve and posterior tibial artery, and the location of medial and lateral plantar nerves in the tarsal tunnel. As well as the origin of the medial calcaneal nerves. Methods: This study was a descriptive observational cross sectional study. Step by step dissections of the tarsal tunnel were performed on 30 Sudanese cadavers, the contents of the tarsal tunnel were explored. Results: The tibial nerve was found to bifurcate before the the medial malleolus calcaneal axis (MMCA) in (n=4/30, 13.3%) specimens , and inside the tunnel (n=26/30, 86.7%). The branching point of the posterior tibialartery was found before the MMCA in (n=10/28, 35.7%) of specimens, at the MMCA in (n=16/28, 57.1%), and after the MMCA in (n= 2/28, 7.1%). Medial calcaneal nerves were found to be derived from the LPN plus the TN in (n=13/30, 43.3%), while in (n=6/30, 20%) were derived from LPN plus MPN plus TN. only (n=5/30, 16.7 %) were derived from LPN alone. Conclusion: anatomical knowledge of the bifurcation points of tibial nerve and posterior tibial artery is of great importance in many medical procedures like external fixation of medial malleolus fractures, medial displacement osteotomy and nerve blocks in podiatric medicine.

scholarly journals Clinical features of a rare anatomical variation of the posterior tibial and fibular arteries

2016 ◽  
Vol 15 (3) ◽  
pp. 234-238 ◽  
Author(s):  
Pedro Oliveira Portilho ◽  
Tulio Fabiano de Oliveira Leite ◽  
Ricardo Cardoso ◽  
Lucas Alves Sarmento Pires ◽  
Julio Guilherme Silva ◽  
...  
Keyword(s):  
Literature Review ◽  
Anatomical Variation ◽  
Posterior Tibial Artery ◽  
Popliteal Fossa ◽  
Triceps Surae ◽  
Medial Malleolus ◽  
Posterior Compartment ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
First Case

Abstract The posterior tibial artery normally arises from tibial-fibular trunk at the popliteal fossa, together with the fibular artery. The classic course of the posterior tibial artery is to run between the triceps surae muscle and muscles of the posterior compartment of the leg before continuing its course posteriorly to the medial malleolus, while the fibular artery runs through the lateral margin of the leg. Studies of both arteries are relevant to the fields of angiology, vascular surgery and plastic surgery. To the best of our knowledge, we report the first case of an anastomosis between the posterior tibial artery and the fibular artery in their distal course. The two arteries joined in an unusual “X” format, before division of the posterior tibial artery into plantar branches. We also provide a literature review of unusual variations and assess the clinical and embryological aspects of both arteries in order to contribute to further investigations regarding these vessels.

scholarly journals Reconstruction of Medial Malleolar Defect Using Posterior Tibial Artery Perforator Based Deep Fascial Flap after Malignant Melanoma Ablation

2020 ◽  
Vol 25 (2) ◽  
pp. 151-155
Author(s):  
Jae Won Heo ◽  
Yong Hun Kim ◽  
Yoon Kyu Chung
Keyword(s):  
Malignant Melanoma ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Subcutaneous Tissue ◽  
Posterior Tibial Artery ◽  
Medial Malleolus ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Fascial Flap ◽  
Thin Skin

The soft tissue structure near the medial malleolus is an area where the bone is covered only with thin skin and subcutaneous tissue without structures like ligaments or tendons. In addition to the above anatomical features, wearing normal footwear should be considered when reconstructing the soft tissues in these areas. Therefore, it may be desirable to restore the original thickness of the soft tissue when performing a reconstruction. The authors reconstructed defects on the medial malleolus of a 50-year-old woman, after wide excision of a malignant melanoma, using only a deep fascial flap based on the posterior tibial artery-based perforator. This technique is thought to be a good option for reconstructing soft tissue defects in this area.

Close-by Islanded Posterior Tibial Artery Perforator Flap: For Coverage of the Ankle Defect

2016 ◽  
Vol 25 (2) ◽  
pp. 37-42
Author(s):  
Sujin Bahk ◽  
SeungHwan Hwang ◽  
Chan Kwon ◽  
Euicheol C. Jeong ◽  
Su Rak Eo
Keyword(s):  
Perforator Flap ◽  
Posterior Tibial Artery ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Artery Perforator

The Distally Based Posterior Tibial Artery Flap

2020 ◽  
Vol 37 (4) ◽  
pp. 671-680
Author(s):  
William C. Perry ◽  
Suhail Masadeh ◽  
Alessandro Thione
Keyword(s):  
Posterior Tibial Artery ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Distally Based
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